CHONG CHIN LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104618

License Status

INACTIVE

Business

First Name

CHONG

Middle

CHIN

Last Name

LEE

Suffix

Business Name

CHONG CHIN LEE MD

Original Issue Date

04/30/2001

Effective Date

04/30/2001

Expiration Date

07/31/2005

City

WAUSAU

State

Zip

54403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/18/2017